David Michael Bergman, M.D.
Individual provider Active NPI Radiation Oncology Physician · Bay City, MI
NPI 1013302397 · NPPES record last updated May 25, 2021
Key facts
- NPI
- 1013302397
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Radiation Oncology Physician 2085R0001X
- License
- 4301502000 (MI)
- Practice address
- 3180 E Midland Rd
Bay City, MI 48706-2755 - Phone
- (989) 667-6670
- Fax
- (989) 667-6688
- NPI assigned
- Apr 2, 2015
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 19
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Radiation Oncology
- Education
- Wayne State University School of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- W. a. Foote Memorial Hospital, Inc.
Henry Ford Health System
Practice addresses (Care Compare)
205 N E Ave
Jackson, MI 49201-1753
Phone (517) 205-4800
2799 W Grand Blvd
Detroit, MI 48202-2608
Phone (313) 916-2600
Hospital & facility affiliations
- Henry Ford Health Hospital
- Henry Ford Macomb Hospital
- Henry Ford Health West Bloomfield Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200518002418 | MI | Practitioner - Radiation Oncology | 9436442316 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301502000 | MI | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Ford Macomb Hospital Corporation | Current |
Accepting new patients | |
| Henry Ford Pathology | Current | Accepting new patients | |
| Henry Ford Macomb Hospital Corporation | Current | Accepting new patients | |
| W. a. Foote Memorial Hospital, Inc | Current | Accepting new patients | |
| W.a. Foote Memorial Hospital, Inc | Current |
Accepting new patients | |
| Henry Ford Health System | Current | Accepting new patients | |
| W a Foote Memorial Hospital Inc | Radiation Oncology | Current |
Accepting new patients |
| Henry Ford Macomb Hospital Corporation | Current |
Accepting new patients | |
| Wa Foote Memorial Hospital, Inc | Past | Accepting new patients | |
| Henry Ford Maplegrove Center | Past | Accepting new patients |
Locations
19675 Allen Rd
Brownstown Twp, MI 48183
Phone (734) 479-3311
15855 19 Mile Rd
Ste 110
Clinton Township, MI 48038
Phone (586) 263-2230
15855 19 Mile Rd
Clinton Twp, MI 48038
Phone (586) 263-2300
2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062
2799 W Grand Blvd
#363
Detroit, MI 48202
Phone (313) 916-2020
159 Kercheval Ave
Grosse Pointe Farms, MI 48236
Phone (313) 640-1000
1102 E Michigan Ave
Jackson, MI 49201
Phone (517) 205-7299
205 N East Ave
Jackson, MI 49201
Phone (517) 788-4730
130 N Sherman St
Leslie, MI 49251
Phone (517) 205-2500
6777 W Maple Rd
West Bloomfield, MI 48322
Phone (248) 325-1000
Interoperability endpoints
- dbergman295303@direct.hfhs.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | 4301502000 | MI | Yes |
Addresses
Primary practice location
3180 E Midland Rd
Bay City, MI 48706-2755
Mailing address
4100 Beecher Rd Ste a
Flint, MI 48532-3661
Phone (810) 342-3813
Other practice location 1
500 J Clyde Morris Blvd
Newport News, VA 23601-1929
Phone (757) 594-3945
Other practice location 2
2799 W Grand Blvd
Detroit, MI 48202-2608
Phone (313) 916-1021
Other practice location 3
1221 South Dr
MT Pleasant, MI 48858-3257
Phone (989) 772-6811
Other providers in Bay City, MI
- Lauren Bendel
- Thomas John Bender
- Danielle Yvonne Willsie Bennett
- Evelyn A Berden
- Emmalyn Bergevin
- Bernard Labombard DDS PLC
- Taylor Berry
- Barbara K Berthiaume
- Raine Besaw
- Lisa Beson
All providers in Bay City, MI · Radiation Oncology Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 25, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.